NPI | 1588421929 |
---|---|
Entity Type | Organization |
Authorized Contact | FOLAKEMI AYILARA Owner 214-803-0469 |
Organization Subpart ? | No |
Primary Taxonomy | 251X00000X Supports Brokerage |
Additional Taxonomies | 251B00000X Case Management |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
Enumeration Date | 2024-03-04 |
Last Update Date | 2025-08-02 |